What happens to claims that are errored into claim edit work queues?

• A. They must be deleted from the clearinghouse; the claim will be worked in Epic and resent after fix
• B. They must be deleted from the clearinghouse and cannot be resent
• C. They are sent back to payer for manual review
• D. They are archived in the clearinghouse for auditing

Answer: (B)

When a claim lands in the claim edit work queue due to an error, the current submission cannot be resent as-is. The proper handling is to delete the erroneous claim from the clearinghouse; it cannot be resent in its flawed form. The correct approach is to fix the underlying issue in Epic and submit a new claim with corrected data, which prevents duplicates and keeps the audit trail clear. Other options don’t align with this workflow because they either involve payer routing or simply archiving without addressing the need to correct and re-submit as a fresh claim.